Bryńska Anita
Klinika Psychiatrii Wieku Rozwojowego WUM, Warszawa.
Psychiatr Pol. 2012 Nov-Dec;46(6):1053-60.
Although the aetiology of autistic-spectrum disorder (ASD) remains unclear, great advances have been made to clarify the underlying neuroanatomical abnormalities and brain-behaviour relationships in autism. There is variability in the literature on structural neuroimaging findings in ASD. Early brain overgrowth is probably the most replicated finding in this subgroup. Additionally some specific brain regions are particularly implicated, including the frontal, limbic, basal ganglia and cerebellar regions. There is also evidence of volume abnormalities in both grey and white matter. New techniques, such as cortical-thickness measurements, surface morphometry and diffusion tensor imaging help to understand in more detail the patterns of abnormalities. More work is required, involving the use of large and homogeneous samples, to investigate the neuroanatomical determinants and their role in aetiology of ASD. The goal of this review is to summarise the available structural neuroimaging data and examine their implication for understanding of the neurobiology of ASD.
尽管自闭症谱系障碍(ASD)的病因仍不明确,但在阐明自闭症潜在的神经解剖学异常及脑-行为关系方面已取得了重大进展。关于ASD结构性神经影像学研究结果的文献存在差异。早期脑过度生长可能是该亚组中最具重复性的发现。此外,一些特定脑区尤其受到牵连,包括额叶、边缘系统、基底神经节和小脑区域。也有证据表明灰质和白质均存在体积异常。诸如皮质厚度测量、表面形态测量和扩散张量成像等新技术有助于更详细地了解异常模式。需要开展更多工作,包括使用大规模且同质的样本,以研究神经解剖学决定因素及其在ASD病因学中的作用。本综述的目的是总结现有的结构性神经影像学数据,并探讨它们对理解ASD神经生物学的意义。